Privacy Compliance Checklist Instructions Within the healthcare arena, privacy and security officers

Privacy Compliance Checklist

Instructions

Within the healthcare arena, privacy and security officers should conduct walkthroughs of the facility. As a new privacy officer for YXZ Hospital, you have decided to partner with the security officer to do weekly rounds of the hospital. You realize that you will need a checklist to ensure that areas are in compliance with policy.

Using the format below, create a checklist that will identify compliance with local policies as well as with federal and state laws. Your list should only include items that you would check for while walking through your facility. Write the questions so that a Yes indicates the expected behavior is being followed. In addition to the two questions listed, you will need to create an additional 10 questions.

YXZ HOSPITAL: PRIVACY COMPLIANCE CHECKLIST

AREA EVALUATED:____________________           DATE:_________________

Evaluation Questions

Yes

No

1.

Are printouts containing PHI lying in open areas?

2.

Are unattended workstations logged off?

3.

Next criteria, and so on.

Upon completion of the checklist, create a memorandum to be released to all employees discussing the new compliance checklist to be used during walkthroughs. Your memorandum should state, at a minimum, the following.

  • When rounds will be conducted, whether random or planned
  • Who will be expected to accompany the privacy and security officer, that is, the nurse manager, floor manager, supervisor, and so on.
  • What the requirement is for deficient issues
  • Where they can find a copy of the checklist
 
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